Obstetricians' and midwives' attitudes toward cesarean section

被引:52
作者
Monari, Francesca
Di Mario, Simona [1 ]
Facchinetti, Fabio
Basevi, Vittorio [1 ]
机构
[1] Modena Local Hlth Author, Ctr Evaluat Effectiveness Hlth Care CeVEAS, I-41100 Modena, Italy
来源
BIRTH-ISSUES IN PERINATAL CARE | 2008年 / 35卷 / 02期
关键词
cesarean section; midwives; obstetricians; attitude;
D O I
10.1111/j.1523-536X.2008.00226.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: The cesarean section rate has increased worldwide over the past 20 years; in Italy, it is now more than 35 percent. Although clinical factors are important, the attitudes of health practitioners toward cesarean section need further investigation to correctly identify facilitators and barriers to changes. The objective of this study was to explore the attitudes toward cesarean section of midwives and obstetricians who worked in the same geographical area. Methods: Face-to-face structured interviews using an adaptation of the Survey of Clinicians' Views on Caesarean Section, an anonymous questionnaire with 35 open and closed answers on practitioners' views on cesarean section, were conducted. The questionnaire was given to the entire group of midwives and obstetricians working in Modena, a northern Italian district. Results: Of 262 eligible practitioners, 248 were interviewed (response rate 94.6%). The midwives' attitudes toward cesarean section differed from those of the obstetricians. Sixty-five percent of midwives considered the rates of cesarean section in their hospitals to be too high compared with 34 percent of obstetricians (p < 0.001). Midwives were also less inclined to believe that cesarean section provides benefits to the mother (p = 0.02) or that it is indicated by previous cesarean delivery (p < 0.001). No differences were observed between male and female obstetricians. Conclusions: In this survey, the attitudes toward cesarean section were correlated more with professional role than with gender. This information can help policy makers to shape interventions aimed at providing better care for pregnant and childbearing women.
引用
收藏
页码:129 / 135
页数:7
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